Get Metlife Cancellation Form - Ball State University

This guide provides clear and detailed instructions on how to fill out the MetLife Cancellation Form specifically for Ball State University. Whether you are new to canceling insurance or need a refresher, this step-by-step approach will help you complete the form accurately online.

Follow the steps to successfully complete the cancellation form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Carefully fill in the 'Company Name' section. Enter 'Ball State University' as the name of the organization associated with your policy.
3. In the 'Policyholder’s Name' section, print your full name clearly. This identifies you as the individual requesting the cancellation.
4. Enter your 'Phone Number' so that the company can reach you if there are any questions regarding your cancellation.
5. In the section asking for coverage to be canceled, specify the name on the policy along with the amount of coverage you would like to cancel.
6. Provide the 'Effective Date of Cancellation,' indicating when you want the cancellation to take effect.
7. Sign the form in the designated area as the policyholder, using your legal signature.
8. Date the signature appropriately in the provided 'Date' field.
9. Submit the completed and signed form to the Payroll & Employee Benefits Office – ADG29 or fax it to (765) 285-6612.
10. For record keeping, mail the original signed form to MetLife Record Keeping/Enrollment Services at P.O. Box 6169, Utica, NY 13504.
11. If you need further assistance, reach out to MetLife at (866) 492-6983.

Complete your MetLife Cancellation Form online today and ensure your cancellation is processed smoothly.